NPIMap

Individual provider Active NPI

Dat Duc Bui, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1932201415
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3592 Issued in TX
Practice address
11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830
Phone
(281) 464-6042
Fax
(281) 464-6706
NPI assigned
Sep 3, 2006
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3592 TX Primary
Internal Medicine Physician 207R00000X A73154 CA

Addresses

Primary practice location

11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830

Mailing address

11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830
Phone (281) 464-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000140 TX Practitioner - Internal Medicine 5597895011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shan Medical AssociationGroup PAC ID 9032244686, 2 clinicians

Practice addresses (Care Compare)

11717 Highland Meadow Dr
Suite 300
Houston, TX 77089-6830
Phone (281) 464-6042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73154CAMDInternal Medicine Physician
L3592TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shan Medical Association Internal Medicine CurrentSince Mar 14, 2010 Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

11717 Highland Meadow Dr
Ste 300
Houston, TX 77089
Phone (281) 464-6042

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1932201415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 HIGHLAND MEADOW DR",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896830",
            "telephone_number": "281-464-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 HIGHLAND MEADOW DR",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896830",
            "telephone_number": "281-464-6042",
            "fax_number": "281-464-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "DAT",
        "middle_name": "DUC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3592",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.